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General NPI Number Information
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NPI Number | 1013330448
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Entity Type | Organization
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Legal Business Name | ATLAS HEALTH ASSESSMENT LLC
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 969 W GURLEY ST
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City | PRESCOTT
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State | AZ
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Zip | 86305-2817
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Country | US
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Telephone | 602-565-7977
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Fax | 480-248-6194
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Provider Business Mailing Address
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Address Line | 969 W GURLEY ST
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City | PRESCOTT
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State | AZ
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Zip | 86305-2817
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Country | US
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Telephone | 602-565-7977
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Fax | 480-248-6194
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Authorized Official
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Title or Position | FNP-C / OWNER
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Name | ANNE BRANSTRATOR
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Credential | FNP-C
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Telephone | 606-565-7977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP4798
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License Number State | AZ
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